12 results
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
ulna, pain with wrist ... fractures • ED Management ... #Wrist #Carpal ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
trapezium, capitate, triquetrum ... , median nerve injury ... • ED Management ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Spinal Cord Injury by Nerve Root Levels
Spinal Root	Sensory	Motor	Reflex
C4	Acromioclavicular Joint	Respiration	None
C5	Radial Antecubital Fossa	Elbow Flexion	Biceps Reflex
C6	Dorsal Thumb	Wrist Extension	Brachioradialis Reflex
C7	Dorsal
Spinal Cord Injury ... Sensory Motor Reflex ... C6 Dorsal Thumb Wrist ... #SpinalCord #Injury ... differential #diagnosis #Neurology
Acute Spinal Cord Injuries: Pathogenesis and clinical findings
 • Anterior Cord Syndrome -> Anterior spinal artery
spinal artery injury ... function below injury ... bladder and rectal reflex ... signs #symptoms #msk ... #orthopedics #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Pathophysiology: • Severe injury ... Awareness • Injury ... Arms extended; wrists ... from the body; wrists ... #PhysicalExam #neurology
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
•
common orthopedic injury ... variable gross wrist ... ) • ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
• Due to injury ... box, pain with wrist ... #TerryThomas #Wrist ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK
Inverted Supinator Test

Useful for identifying a lesion at the C5-C6 spinal cord level.  Tapping the
elbow flexion, wrist ... radial (supinator) reflex ... Supinator #Test #Reflex ... #neurology #clinical ... #orthopedics #msk
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Pronation - C7, C8 Wrist ... , T1 (median) Reflexes ... Horner Syndrome Wrist ... spared in this injury ... Myotomes #diagnosis #neurology
Positive Hoffmann's sign (finger flexor reflex)

Flexion and adduction of the thumb and flexion of the index
(finger flexor reflex ... indicating cervical injury ... finger #flexor #reflex ... #physicalexam #msk ... #orthopedics #neurology